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LITHOSTAR Multiline
System manual
Start-up Instructions
Print No.: RXL2-120.815.01.02.02
Replaces: RXL2-120.815.01.01.02
SP
© Siemens AG 2004
The reproduction, transmission or
use of this document or its contents
is not permitted without express
written authority. Offenders will be
liable for damages. All rights,
including rights created by patent
grant or registration of a utility
model
_or_ design,_are_
reserved.
English
Doc. Gen. Date: 02.05

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Summary of Contents for Siemens LITHOSTAR Multiline SP

  • Page 1 LITHOSTAR Multiline System manual Start-up Instructions © Siemens AG 2004 The reproduction, transmission or use of this document or its contents is not permitted without express written authority. Offenders will be liable for damages. All rights, including rights created by patent...
  • Page 2 Assemblers and other persons who are not employed by or otherwise directly affiliated with or autho- rized by Siemens or one of its affiliates are directed to contact one of the local offices of Siemens or one of its affiliates before attempting installation or service procedures.
  • Page 3: Table Of Contents

    Fluoroscopic Field Limitation (without Overframing) ....5 - 2 6 _______Checking the Dose Rate _________________________________________ 6 - 1 Siemens AG RXL2-120.815.01 Page 3 of 4...
  • Page 4 Final Steps ........8 - 1 9 ______ Changes to previous version _____________________________________9 - 1 LITHOSTAR Multiline RXL2-120.815.01 Page 4 of 4 Siemens AG System manual Rev. 02 02.05 CS PS 24...
  • Page 5: Required Documents

    Temperature meter ± 1° C must be purchased locally • PTU pressure tester 30 95 408 J1008 • PTU Adapter 70 41 028 J1008 Siemens AG RXL2-120.815.01 Page 1 of 6 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05 CS PS 24...
  • Page 6: Important Information Regarding Start-Up

    = Digital Volt Meter = Source-to-image distance = Focus - Image Intensifier Distance = Collimator I.I. = Image Intensifier = Fluoroscopy LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 6 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 7: Protective Measures

    Install or remove assemblies only with the generator switched off and according to ESD guidelines. Preliminary Steps • Set switch (S1) on board D 100 to SS OFF (Fig. 1). Siemens AG RXL2-120.815.01 Page 3 of 6 LITHOSTAR Multiline Medical Solutions Rev.
  • Page 8 1 - 4 Prerequisites / General Information V36 V35 D110 D160 D100 Fig. 1 LITHOSTAR Multiline RXL2-120.815.01 Page 4 of 6 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 9 Com.1 BUS mouse Important: - Connect the system controller (D320.XCS) to Com 1. - Connect the PC mouse to the PC BUS mouse connector. Siemens AG RXL2-120.815.01 Page 5 of 6 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05 CS PS 24...
  • Page 10 D200 D220 D291 D160 F1F2 F3 Com 1 Com 2 Important: The system controller (D200.X5) must be connected to Com 1. LITHOSTAR Multiline RXL2-120.815.01 Page 6 of 6 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 11: Inspection Of The I.i. Support

    (phase-to-phase) as follows: • Connect the internal line impedance meter between 2 phases respectively of L1, L2 and • Switch the system breaker ON. • Perform the measurement. Siemens AG RXL2-120.815.01 Page 1 of 4 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05...
  • Page 12 0.11 Ohm • Switch the system breaker OFF. • Reinstall the knife fuses. • Reinstall the cover over the knife fuses. LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 4 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 13: Generator Start-Up

    Due to changes in the monitoring of the shock wave system, the NOTE shock wave cabinet must be switched on when switching on the system. The shock wave cabinet can be switched off, when the system is ready for use. Siemens AG RXL2-120.815.01 Page 3 of 4 LITHOSTAR Multiline Medical Solutions Rev.
  • Page 14 Move the unit to the left so that board D31 is accessible. • Connect control cable X28 on board D31 and secure it with screws. • Reattach the cover. LITHOSTAR Multiline RXL2-120.815.01 Page 4 of 4 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 15: Filling The Cooling System

    Connect the quick couplings and the pump. • Turn on N12 using switch S1; the cooling circuit is filled and ventilated. Ensure that the cooling circuit does not contain air bubbles. NOTE Siemens AG RXL2-120.815.01 Page 1 of 6 LITHOSTAR Multiline Medical Solutions Rev.
  • Page 16 Leakage in the cooling circuit NOTE ⇒ If the voltage drops Solenoid valve Y1 is defective • Tighten the red cap of the vent valve. LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 6 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 17: Filling The Coupling Circuit

    "Replacing the Sensor Module" of the instructions RXL2-120.091.06.. • Press the coupling bellows together. • Reconnect the elbow. • Set the S2 switch (Fig. 1) to STANDARD MODE (Y3 valve closed). Siemens AG RXL2-120.815.01 Page 3 of 6 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05...
  • Page 18 Remove air bubbles in the coupling bellows using a syringe (without a needle) (Fig. 3). • Set the S2 switch on board W12 to the EMPTY COUPLING BELLOWS position (Fig. 1) (Y3 valve is open). LITHOSTAR Multiline RXL2-120.815.01 Page 4 of 6 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 19: Shockwave Release Function

    Starting from step 0.1 (default position), increase the shock wave energy in steps up to step 9 and release several shots at each step. • Set the S3 switch back to the STANDARD MODE position. Siemens AG RXL2-120.815.01 Page 5 of 6 LITHOSTAR Multiline Medical Solutions Rev.
  • Page 20 3 - 6 Shock Wave System This page intentionally left blank. LITHOSTAR Multiline RXL2-120.815.01 Page 6 of 6 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 21: Service Software Installation And System Programming

    • Prior to turning the system over to the customer, save the system programming on the FD - SW POLYDOROS diskette (back-up). Siemens AG RXL2-120.815.01 Page 1 of 8 LITHOSTAR Multiline Medical Solutions Rev.
  • Page 22: Generator Start-Up Without High Voltage

    Remove the jumper from the mAs sockets on board D220 (on the H1 high voltage transformer). • Connect an mAs meter to the test sockets. • Switch the system ON. LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 8 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 23: Generator Programming

    Select "Generator Parameters" in the Adjustment menu. • Select "24" m for the Tube 1 High Tension Cable Length in the Generator Parameters field. • Select "Fluoroscopy" in the "Warm Up" menu. Siemens AG RXL2-120.815.01 Page 3 of 8 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05...
  • Page 24 • Click OK. • Click "Backup to Disk" in the Data menu. • Insert the Site data floppy. • Click OK. LITHOSTAR Multiline RXL2-120.815.01 Page 4 of 8 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 25: Checking Kv Accuracy

    , 102 kV, 100 % power at the Operating PC and select 28 mAs. • Select 2V/div for kV and 1V/div for mA on the oscilloscope. • Release an exposure and measure the kV and mA with the oscilloscope. Siemens AG RXL2-120.815.01 Page 5 of 8 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05...
  • Page 26: Checking The Fluoroscopy Timer

    • Remove the universal adjustment device. • Reinsert the rubber plugs unless the shock wave pressure test is being performed. LITHOSTAR Multiline RXL2-120.815.01 Page 6 of 8 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 27: Shock Wave Pressure Test

    Release shock waves. • Remove PTU adapter M and reinsert the rubber plugs. • Move the shock wave head into the park position after completing the measurement. Siemens AG RXL2-120.815.01 Page 7 of 8 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05...
  • Page 28 4 - 8 Start-Up of Multiline System This page intentionally left blank. LITHOSTAR Multiline RXL2-120.815.01 Page 8 of 8 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 29: Alignment Of The Radiation Field Center To The Film Center

    If it has been assured that the factory settings have not changed, the values in the test certificate and the films that were exposed at the factory can be used for the Acceptance Test Certificate. Siemens AG RXL2-120.815.01 Page 1 of 2...
  • Page 30: Fluoroscopic Field Limitation (Without Overframing)

    X and Y can be taken from the Multiline test protocol and used in the Acceptance Test Protocol. LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 2 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 31: General Remarks

    Select the service software VIDEOMED DIM. → In Menu Adjustment select submenu Gamma calibration Ramp calibration and perform the steps indicated. Siemens AG RXL2-120.815.01 Page 1 of 18 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05 CS PS 24 System manual...
  • Page 32: Flowchart

    Select IQ start-up and confirm query "DHHS" or "NO" (Menu option § 16 X-Ray Ordinance is presently not used) continue with ESC LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 18 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 33 RXD-000.038... continue with ESC ADC measurement field Check and enter Light Path. continue with ESC Select Fluoroscopy dose rate Select FL C00 Siemens AG RXL2-120.815.01 Page 3 of 18 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05...
  • Page 34 Select Videomed DI: Measure the B-Signal Check resolution Protocol Artifacts Corresponding instructions available with the F1 key Help continue with ESC LITHOSTAR Multiline RXL2-120.815.01 Page 4 of 18 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 35 Sign protocol on page 2, store disk, and protocol in the system binder. • At present, the snap shot for the 33 cm I.I. according to paragraph F can only be recorded in the supplied protocol. Siemens AG RXL2-120.815.01 Page 5 of 18 LITHOSTAR Multiline Medical Solutions Rev.
  • Page 36: Indirect Measurement Of The Fluoroscopic Dose

    Confirm the message "IImaximum ... " with OK. • Click Fluoroscopy on. • Change the mA value so that the dose rate desired appears on the dosimeter. LITHOSTAR Multiline RXL2-120.815.01 Page 6 of 18 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 37 - Call up "Parameter" in the Adjustment menu. - Click Get from Unit. - Select the parameter: am 7 TV-Iris in "Parameter Groups". - Select "TV-Iris format" under Parameter. Siemens AG RXL2-120.815.01 Page 7 of 18 LITHOSTAR Multiline Medical Solutions Rev.
  • Page 38: B2. Dose Rate/Iris Adjustment For Polydoros Sx

    Select Dose rate in the Adjustment menu. • If the message "You are .." appears, confirm with OK. The message "Select II maximum ... " appears. LITHOSTAR Multiline RXL2-120.815.01 Page 8 of 18 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 39 - Switch on the system. - Record the dose rate again. After each reset of the Multiline, the antiisowatt curve must be NOTE selected on the operating PC. Siemens AG RXL2-120.815.01 Page 9 of 18 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05...
  • Page 40 End the adjustment, otherwise repeat it. NOTE After each Reset of the Multiline, the antiisowatt curve must be selected on the operating PC. LITHOSTAR Multiline RXL2-120.815.01 Page 10 of 18 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 41: Maximum Skin Dose Rate

    If the small chamber is used with the Dali, the correction factor of 0.85 must be included, i.e. measured value x 0.85. • Reinstall the fuse in Z96. • Remove the measurement chamber. Siemens AG RXL2-120.815.01 Page 11 of 18 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05...
  • Page 42: Setting The Water Equivalent Take Over

    Zoom 3 1056 1753 In case of deviations, perform the dose rate setting for DR in accordance with pages 6-13 through 6-16. LITHOSTAR Multiline RXL2-120.815.01 Page 12 of 18 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 43: Dose Setting For Dr

    - Repeat this process as many times as necessary to attain the specified PDA size. - Tighten the set screws. - Reset service switch S1 on board D100 at the PDA sensor to the starting position (the service lamp goes out). Siemens AG RXL2-120.815.01 Page 13 of 18 LITHOSTAR Multiline Medical Solutions Rev.
  • Page 44: Pda Sensor Adjustment

    Remove the cover of the light distributor. The room must be darkened for this adjustment, otherwise stray NOTICE light will distort the setting. LITHOSTAR Multiline RXL2-120.815.01 Page 14 of 18 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 45 With fluoro ON, check whether the value 0 +1 is attained in the field "Difference of expected to actual value". • Otherwise, adjust potentiometer R1 on D100 until the adjustment is successful. Siemens AG RXL2-120.815.01 Page 15 of 18 LITHOSTAR Multiline Medical Solutions Rev.
  • Page 46: Image Brightness For Dr

    If case of deviations, change the value of the associated "DR Zoom x" in "am7 TV Iris" under "Parameter Groups" (For larger values, the image becomes brighter and the voltage increases and vice versa.) LITHOSTAR Multiline RXL2-120.815.01 Page 16 of 18 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 47: Check Measurement Of The B Signal

    RX63-020.034.08... In addition, steps that must be performed are described in the VIDEOMED DI Service Instructions, RX52-022.061.01... • Switch the system OFF and reattach the cover to the VIDEOMED DI M. Siemens AG RXL2-120.815.01 Page 17 of 18 LITHOSTAR Multiline Medical Solutions Rev.
  • Page 48: Resolution Test

    However, to ensure customer satisfaction, the system must be adapted to the medical applications in question and to the on-site procedures. LITHOSTAR Multiline RXL2-120.815.01 Page 18 of 18 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 49: Ecg Triggering

    • Perform the start-up for DICOM Connect according to the instructions RXL2-120.814.02. DICOM can be installed in the LITHOSTAR Multiline only if the NOTE MULTISPOT is not installed. Siemens AG RXL2-120.815.01 Page 1 of 2 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05...
  • Page 50: Multispot 2000

    • Shockwave release test " test with ECG triggering " test with respiratory triggering " test with respiratory and ECG triggering LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 2 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 51: Customer-Specific And Country-Specific Settings For The Multiline

    Protective conductor resistance: max. 0.2 Ohm • If it is greater than this value, increase the wire gauge of the protective conductor. • Reduce the transfer resistance (e.g. tighten the screws). Siemens AG RXL2-120.815.01 Page 1 of 2 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05...
  • Page 52 Test Certificates (unit, generator and IQ Test Certificates). NOTE From serial number 7000 the laser light localizer can be converted to battery operation (see instructions RXL2-120.033.03... ). LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 2 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...
  • Page 53 Changes to previous version 9 - 1 Chap. 0 Cover sheet, revision, table of contents generated again. Chap. 8 -2 Information regarding installation report included. Siemens AG RXL2-120.815.01 Page 1 of 2 LITHOSTAR Multiline Medical Solutions Rev. 02 02.05 CS PS 24...
  • Page 54 9 - 2 Changes to previous version This page intentionally left blank. LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 2 Siemens AG System manual Rev. 02 02.05 CS PS 24 Medical Solutions...

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